Month: February 2025

Understanding Neuroinflammation and the Role of the Sympathetic Nervous System: A Perspective on Manual Therapy

By Steven Goldstein Neuroinflammation is a complex and multifaceted topic that continues to evolve as research advances. It is crucial to approach this subject with care, ensuring that the information presented is accurate and avoids perpetuating outdated or misleading narratives. While there are many experts who have contributed significantly to this field, it is important

The Role of the Sympathetic Nervous System in Neuroinflammation and Immune Regulation

Introduction Living organisms constantly interact with their environment through sensory and motor systems, all under the control of the central nervous system (CNS). The CNS generates complex motor commands based on sensory feedback and internal bodily states, ensuring optimal functioning of tissues and organs. This regulation extends to the autonomic nervous system (ANS) and neuroendocrine

Cervical Musculoskeletal Impairments in Migraine and Tension-Type Headache

Neck pain is a common complaint among patients with migraine and tension-type headache (TTH), often leading them to seek cervical treatment. However, the drivers of neck pain in these primary headache disorders are complex, involving headache pathophysiology, local musculoskeletal (MSK) dysfunction, or peripheral sensitivity. An article published in Musculoskeletal Science and Practice synthesizes findings from

Lifestyle Factors and Chronic Pain in Older European Adults

Chronic pain, recognized as a complex biopsychosocial condition, is significantly influenced by social, economic, and lifestyle factors, making it a major global public health issue. But limited knowledge exists on the association between lifestyle factors and pain severity in older adults. A survey evaluated the critical role of modifiable lifestyle factors—such as physical inactivity, sleep

The Role of the Circadian Clock in Tendon Health and Tendinopathy

Introduction Tendons, which connect muscles to bones, are prone to overuse injuries known as tendinopathy, affecting approximately 16.5 million people annually in the U.S. Despite being a significant clinical and socio-economic issue, the exact mechanisms behind tendinopathy remain unclear. Recent research suggests that the circadian clock, which regulates many biological processes in a 24-hour cycle,

Noisy knee

U A study published in the British Journal of Sports Medicine (BJSM) provided fresh insights into the prevalence of knee crepitus and its implications for structural knee pathology. Led by researcher Jamon Couch, the systematic review delves into how common knee crepitus is among the general population and those with specific knee conditions, and what

Influence of Hip and Lumbar Extensor Strength on Lifting Mechanics in Individuals with Low Back Pain

Background Low back pain is frequently associated with diminished muscle strength, particularly in the hip and lumbar extensors, which can alter physical movements and lifting strategies. A study was conducted for the understanding how these muscular deficiencies affect lumbar spine moments during squat lifts can provide valuable insights for therapeutic strategies. Methods A total of

Myofascial Force Transmission Between Latissimus Dorsi and Gluteus Maximus

A study from Brazil investigated whether regular running influences myofascial force transmission (MFT) between the latissimus dorsi (LD), thoracolumbar fascia, and contralateral gluteus maximus (GM), a pathway connecting the shoulder, trunk, and hip. The hypothesis was that runners, due to potential increases in tissue stiffness from regular sports practice, would exhibit greater MFT and altered

Understanding the Fascial System

The concept of fascia has long been a topic of intrigue and debate within both clinical and scientific communities. Despite its growing recognition, the absence of a clear consensus on its definition and significance has led to skepticism about its role in the human body. This ambiguity, compounded by the indiscriminate use of the term

In-Depth Exploration of Cervical Facet Pain

Pain from the cervical facet joints, either due to degenerative conditions or due to whiplash-related trauma, is very common in the general population. A literature review by Helinga et al. published in Pain Practice discusses the diagnosis and treatment of cervical facet-related pain with special emphasis on interventional treatment techniques. Neck pain, a prevalent issue